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Yes, stroke and heart attacks can cause falls if standing when it happens or the person gets up.
Are you upgrading to the necklace that detects motion, like falling, so that an operator calls and if gets no response calls for help? I did this with Mom. If they become unconcious they can't push the button. The one problem I found was if the button hits something an operator will respond. Because of this my Mom would put the button down her top. The button has to hit the floor to send a signal to the operator. This means the necklace can't be too short and has to be outside clothing. Hope I helped.
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